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- 34
Hi All
I am about 6 months into my journey; now on 2g of SR metformin along with 5mg of linagliptin. All gradually uptitrated, none of the usual side effects, and linagliptin only for the last month as I was suffering from post prandial spikes. I have also massively cut carbs as per usual advice on here (HFLC etc), and maintain an exercise routine of weights and running 5-10km a couple of times a week. Not overweight, in fact I've been told not to lose any more weight which is hard (I'm 5'11 and weigh 73kg). LADA originally suspected, but so far ruled out by the GAD and C Peptide tests (but being repeated soon as specialist nurse still says I dont add up).
Anyway, the drugs / diet / exercise routine seems to be working in terms of blood sugar readings both self monitoring and HC1 (now around pre-diabetes level).
The problem I was hoping for a little advice on is that I seem to be VERY sensitive to stressors now, and feel a little anxious more often. I have read that anxiety can cause the fight or flight response, and raise levels. I experienced this after a stressful week when my readings were going up as high as 10 even before meals. I've also read that linagliptin can increase anxiety, which would be a strange visious circle if one of the factors affecting my personal management is a sensitive reaction to stress. Perhaps a little chicken and egg.
Another example is that through monitoring I have learnt the foods I can tolerate. Sometimes however I can spike up after eating a smaller portion of a food I am normally fine on if I am feeling a little stressed (not even necessarily a lot of stress, which is not sustainable with a job as a little stress is natural but having it wipe me out with post hyper fatigue is not great). So I am thinking stress/anxiety is something I need to try and manage alongside diet and exercise.
The other thing I have found is that I am tired a lot of the time now. A lot like the kind of tiredness I felt when Hyperglycemic (foggy/glued up thinking with a strong desire to sleep), although my self monitoring readings have been normal when I check (6/7).
Any ideas, suggestions or requests for clarification most welcome!
I am about 6 months into my journey; now on 2g of SR metformin along with 5mg of linagliptin. All gradually uptitrated, none of the usual side effects, and linagliptin only for the last month as I was suffering from post prandial spikes. I have also massively cut carbs as per usual advice on here (HFLC etc), and maintain an exercise routine of weights and running 5-10km a couple of times a week. Not overweight, in fact I've been told not to lose any more weight which is hard (I'm 5'11 and weigh 73kg). LADA originally suspected, but so far ruled out by the GAD and C Peptide tests (but being repeated soon as specialist nurse still says I dont add up).
Anyway, the drugs / diet / exercise routine seems to be working in terms of blood sugar readings both self monitoring and HC1 (now around pre-diabetes level).
The problem I was hoping for a little advice on is that I seem to be VERY sensitive to stressors now, and feel a little anxious more often. I have read that anxiety can cause the fight or flight response, and raise levels. I experienced this after a stressful week when my readings were going up as high as 10 even before meals. I've also read that linagliptin can increase anxiety, which would be a strange visious circle if one of the factors affecting my personal management is a sensitive reaction to stress. Perhaps a little chicken and egg.
Another example is that through monitoring I have learnt the foods I can tolerate. Sometimes however I can spike up after eating a smaller portion of a food I am normally fine on if I am feeling a little stressed (not even necessarily a lot of stress, which is not sustainable with a job as a little stress is natural but having it wipe me out with post hyper fatigue is not great). So I am thinking stress/anxiety is something I need to try and manage alongside diet and exercise.
The other thing I have found is that I am tired a lot of the time now. A lot like the kind of tiredness I felt when Hyperglycemic (foggy/glued up thinking with a strong desire to sleep), although my self monitoring readings have been normal when I check (6/7).
Any ideas, suggestions or requests for clarification most welcome!